title: Transnasal endoscopic management of recurrent juvenile nasopharyngeal angiofibroma.
abstract: OBJECTIVE
  The purpose of this study was to present our experience with definitive endoscopic surgical management of the recurrent juvenile nasopharyngeal angiofibroma.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Tertiary care centre.
  
  
  METHODS
  This study includes 13 male adolescence patients with recurrent nasopharyngeal angiofibroma who received treatment at our centre between 2005 and 2010. The patient age ranged from 12 to 21 years (mean age, 15.7 years). Endoscopic two surgeons' technique had been used. Follow up MRI every four months.
  
  
  RESULTS
  Complete removal of the recurrent tumor was achieved in 10 cases. Three patients had incomplete removal with further recurrences. These recurrences were two in lateral wall of the sphenoid sinus (2 patients), and soft palate (one patient).
  
  
  CONCLUSIONS
  Recurrent JNAs are residual disease resulting from incomplete removal of the primary tumor. Transnasal endoscopic sinus surgery is an effective method for treating recurrent JNA. Follow up is essential and integral point in management of JNAs.
authors.affiliation: Department of Otorhinolaryngology, Mansoura University, Mansoura, Egypt.
authors.forename: Asser A
authors.initials: AA
authors.lastname: El Sharkawy
authors.forename: Shawky M
authors.initials: SM
authors.lastname: Elmorsy
mesh_terms: D000293:Adolescent; D018322:Angiofibroma / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D001707:Biopsy, Needle; D002648:Child; D015331:Cohort Studies; D004724:Endoscopy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D015994:Incidence; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D009296:Nasal Cavity / Q000601:surgery; D009303:Nasopharyngeal Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D009361:Neoplasm Invasiveness / Q000473:pathology; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D009367:Neoplasm Staging; D018365:Neoplasm, Residual / Q000473:pathology / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult